Billing and Claims

Includes general claims procedures, electronic billing, EDI, claims for accidents and injuries, and government programs.

Includes general coding and standards, behavioral health services, NPI, home birth, and government programs.

 

Claims Status Inquiry Padlock

Check the status of claims you've submitted in the past six months.

Eligibility Inquiry Padlock

Verify a member's coverage and benefit levels.

 

Claims Review Process

For information about first-level and second-level claims review, see Process for Provider Reconsiderations.